Individual
CHARLES JOHN LALANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
832 SW 36TH AVE, BOYNTON BEACH, FL 33435-8514
(561) 685-1142
Mailing address
2521 S FEDERAL HWY, BOYNTON BEACH, FL 33435
(561) 735-3200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22043
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2016
Last updated
08/11/2017
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